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Individual

TUAN MINH NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ENP

Contact information

Practice address
1901 N MACARTHUR BLVD, IRVING, TX 75061-2220
(972) 579-8110
Mailing address
5432 LEMONS RD, FORT WORTH, TX 76140-9633
(817) 561-2532

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
671665
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
187695501
TX
01
8Y1399
BCBS
TX
Enumeration date
01/18/2007
Last updated
10/26/2015
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